2023-01-12T00:00:00-06:00 2022-03-31 131577780 SCHULTHEIS & PANETTIERI LLP 450 WIRELESS BLVD HAUPPAUGE NY 11788 990 2021-04-01 150582931 UPSTATE NEW YORK ENGINEERS HEALTH FUND UPST 3154921796 101 INTREPID LA PO BOX 100 COLVIN SYRACUSE NY 132050100 EARL R HALL EMPLOYER TRUSTEE 3154921796 2023-01-09 1 EARL HALL 999009999 CAROL WESTFALL P00539069 6312734778 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z DEBORAH SPAULDING 101 INTREPID LA PO BOX 100 COLVIN SYRACUSE NY 132050100 50675177 0 X N/A X 1957 NY TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 10 10 16 0 0 0 0 340998 36070372 40050768 4964992 5786541 114819 139332 41150183 46317639 0 0 36989489 35592588 1640200 1701005 0 0 0 729008 824005 39358697 38117598 1791486 8200041 110667542 111992521 6356436 5892272 104311106 106100249 TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 0 TO PROVIDE HEALTH CARE AND OTHER BENEFITS TO ELIGIBLE PARTICIPANTS. 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 347 0 1 16 1 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X DEBORAH SPAULDING 3154921796 101 INTREPID LANE SYRACUSE NY 132050100 DANIEL J MCGRAW CHRMN/UN TRSTEE 1.00 0.00 X 0 0 0 THERON H HOGLE UNION TRUSTEE 1.00 0.00 X 0 0 0 GARY SWAIN UNION TRUSTEE 1.00 0.00 X 0 0 0 GRANT MALONE - THRU 921 UNION TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM FEKETE UNION TRUSTEE 1.00 0.00 X 0 0 0 EUGENE D HALLOCK III EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 JAMES LOGAN EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 EARL R HALL EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 DOUGLAS MAY EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 NICKOLAUS OSINSKI EMPLOYER TRUSTEE 1.00 0.00 X 0 0 0 DEBORAH SPAULDING FUND ADMINISTRATOR 33.00 2.00 X 131622 0 38091 MICHAEL LYONS - EFF 921 UNION TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE FIACCO IT ADMIN 22.00 13.00 X 103405 0 42883 235027 0 80974 2 0 1 0 AETNA 151 FARMINGTON AVENUE HARTFORD CT 06156 CLAIMS PROCESSOR 655677 LIFETIME BENEFIT SOLUTIONS 115 CONTINUUM DRIVE LIVERPOOL NY 13088 ACCESS/NETWORK FEES 438208 SEI INV MGMT CORP 1 FREEDOM VALLEY DR OAKS PA 19456 INVESTMENT MANAGER 328595 JOSEPH W MCCARTHY & ASSOCIATES 7644 ROUTE 31 WEST BALDWINSVILLE NY 13027 PAYROLL AUDITS 310298 BLITMAN & KING LLP 433 NORTH FRANKLIN ST FRANKLIN SQUARE SYRA NY 12304 COLLECTION FEES 133883 5 340998 340998 EMPLOYERS CONTRIBUTIONS 237310 36286206 36286206 PARTICIPANTS CONTRIBUTION 237310 3764562 3764562 40050768 2304032 2304032 7840047 4357538 3482509 3482509 3482509 DELINQ CONTRIB INT / FEES 237310 139332 139332 139332 46317639 40190100 0 5786541 35592588 169713 911637 322231 214977 82447 211853 66822 351731 228816 158041 93174 142932 15326 76273 REIMB PR, PR TAXES & BE -520963 38117598 1055726 1350021 1005540 952681 3713202 4540974 104892850 105148407 224 438 110667542 111992521 312036 475877 340998 5703402 5416395 6356436 5892272 X 0 0 0 0 104311106 106100249 104311106 106100249 110667542 111992521 8200041 -6410898 0 X 0 1 X 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO RELATED ORGANIZATIONS 508795 CLAIMS PAYABLE AND CLAIMS IBNR 4907600 5416395 39555010 -6410898 -6410898 45965908 351731 351731 46317639 38271067 0 38271067 351731 -505200 -153469 38117598 PART XII, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN CLAIMS PAYABLE & IBNR -505,200. X 0 0 0 DEBORAH SPAULDING FUND ADMINISTRATOR 131622 0 0 0 0 0 23167 0 14924 0 169713 0 0 0 PART III - ADDITIONAL INFORMATION DEBORAH SPAULDING RECEIVES COMPENSATION AND BENEFITS IN HER CAPACITY AS FUND ADMINISTRATOR OF THIS ENTITY AND THE RELATED PENSION AND SUB FUNDS. COMPENSATION AND BENEFITS ARE PAID BY THIS ENTITY WITH REIMBURSEMENTS MADE ACCORDINGLY, BASED ON THE ALLOCATION PERCENTAGES IN THE CURRENT EXPENSE STUDY. THE ENTITY'S PORTION OF THE EXPENSES ARE 53% OF THE GROSS AMOUNT DETAILED ON SCHEDULE J, PART II - LINE (I). KELLEY HARRIGAN FAMILY MEMBER 95494 EMPLOYMENT 0 CHRIS SPAULDING FAMILY MEMBER 17645 EMPLOYMENT 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED IN COORDINATION WITH THE FUND ADMINISTRATOR WHO WORKS FULL TIME FOR THE ORGANIZATION. ONCE COMPLETE, THE FORM WAS PROVIDED TO AND REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION IS AN EMPLOYEE BENEFIT FUND COVERED BY ERISA. THE TRUSTEES HAVE A STATUTORY DUTY UNDER ERISA TO AVOID CONFLICTS AND REPORT THEM AS THEY OCCUR. IN ADDITION, THE FUND'S WRITTEN CONFLICT OF INTEREST POLICY REQUIRES FUND EMPLOYEES TO FULLY AND PROMPTLY DISCLOSE ANY FINANCIAL OR PERSONAL INTEREST THEY HAVE WITH OTHER PARTIES THAT DEAL WITH THE FUND, IN WRITING. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO ALL PARTICIPANTS UPON REQUEST. DOCUMENTS ARE AVAILABLE TO THE PUBLIC TO THE EXTENT REQUIRED BY LAW. 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